COUNSELING

COUNSELING QUESTIONNAIRE

If you’re seeking guidance rooted in God’s Word, Calvary South OC offers Biblical Counseling with our pastors or an approved biblical counselor onsite. Unlike Christian therapy, which may integrate various counseling methods, biblical counseling is centered fully on Scripture and the hope we have in Christ. Our goal is to walk with you through life’s challenges using God’s truth as the foundation for healing, encouragement, and spiritual growth. Please fill out this questionnaire. If you have any questions, call 949-443-2572 or email info@calvarysouthoc.com.
Name*

First NameLast Name
Referred by
Birthday or age:*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
What are you seeking Biblical counseling for?*

Pre-MaritalMaritalParentingOther
What are you seeking Biblical counseling for? (Marital, parenting, other).
What days and times are you available? (or specify 'flexible')*
How long have you been Christian?
How long have you attended Calvary South OC? If you attend a different church, what is your home church?

PRE-MARITAL

If seeking pre-marital counseling, please answer the following questions:
Are you engaged?

YesNo
Your fiancé’s name
When were you engaged?
Have you been married before?

YesNo
If you have a wedding date, what is the date?
Are you and your fiancé Christians?
Comments or questions
Thank you! Someone will be contacting you to make an appointment with one of our pastors or other Biblical counselors. If you have any questions, you can call our office Monday - Friday from 8:00AM to 4:30PM at 949-443-2572.
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COUNSELING QUESTIONNAIRE